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City of Chico

City of Chico

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Human Resources & Risk Management

Human Resources

Forms

Forms

General Employee

General Employee Forms	Union-Specific Forms
Cell Phone Reimbursement Form	Fitness Reimb Request: CPOA, PSM, IAFF, CFME
Info Systems Setup Form	IAFF Certification Pay Request Form
Key Request Form	L39 Safety Footwear Reimb Form
Outside Employment	Sick Leave Payout Form (IAFF)
Personnel Transaction	SEIU Certification Pay Request Form
Recruitment Request Form	SEIU Tool Allowance Form
Tuition Reimbursement Application for Program Approval	Union Time Bank Use Authorization
Tuition Reimbursement Program Claim Form

Leave of Absence

California Family Rights Act (CFRA) Fact Sheet

FMLA Fact Sheet
Leave Request Form (LOA-1)
Physician Certification of a Serious Health Condition (LOA-2)

Physician Letter Form (LOA-3).

Temporary Modified/Light Duty Agreement

Payroll & Scheduling

PAYROLL
2026 Payroll Calendar

2026 Form DE-4 (CA)

Deferred Compensation 457 Form

HSA Contribution Change Form

Change of Address/Name/Phone

SCHEDULING
Flexible Schedule Request

Risk Management

ADA Complaint Form
Report of Accident, Theft, Damage or Loss Involving City Property (PDF)
Report of Accident, Theft, Damage or Loss Involving City Property (Word)
Ride Along Waiver

City of Chico Insurance Requirements - 07/2026

Volunteer/Intern Application

Unpaid Volunteer/Intern Application

Workers' Compensation

City of Chico Provider Letter

Claim Form DWC-1

Incident Report
Physician Pre-Designation Form

Workers' Compensation Flow Chart

Current Agendas

Make Sewer Payment

Departments

Latest News & Chico TV

Current Agendas

Make Sewer Payment

Departments

Latest News & Chico TV